Colonic Injury From Temporary Epicardial Pacing Wires

Salami, M A; Coleman, R. J.; Buchan, Keith

doi:10.1016/j.athoracsur.2011.09.020

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…These complications include ventricular arrhythmias [11], cardiac tamponade, and dyspnea [12]. Some case reports also described complications during the implantation of epicardial pacing leads [13,14].…”

Section: Discussionmentioning

confidence: 99%

Transvenous endocardial pacemaker pacing in thoracoscopic cardiac surgery

X¹,

zhang

Xia³

et al. 2021

Preprint

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Background: Temporary cardiac pacing is frequently required during heart surgery due to life-threatening complications of arrhythmias. The conventional method of epicardial pacing could have risks such as bleeding and myocardial tears. Transvenous endocardial pacing provides another option. The efficiency of transvenous epicardial and endocardial pacing were compared in this study. Methods: We performed a retrospective study and reviewed medical records in patients who received either thoracoscopic cardiac surgery with transvenous endocardial pacing or median sternotomy with transvenous epicardial pacing between June 2019 and January 2021. Patients were assigned into two groups depending on the surgical type and pacing method. Preoperative patient characteristics and perioperative outcomes were collected. The efficiencies of endocardial and epicardial pacing were compared and analyzed in SPSS. Results: A total of 68 patients were included. Thirty-five (51.5%) patients were in the thoracoscopic cardiac surgery group with transvenous endocardial pacing. Thirty-three (48.5%) patients were in the median sternotomy group with transvenous epicardial pacing. Intensive care unit (ICU) time (p = 0.014), in-hospital duration (p = 0.036), operation time (p = 0.005), and the 24-h drainage volume (p < 0.001) showed significant differences between the two groups. There was no significant difference between the pre- and post-operative heart rate and rhythm compared between two groups. Conclusions: Compared with transvenous epicardial pacing, transvenous endocardial pacing showed no significant differences in heart rate and arrhythmia during the perioperative period. Transvenous endocardial pacing was also associated with better operative measurements.

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Section: Discussionmentioning

confidence: 99%

Transvenous endocardial pacemaker pacing in thoracoscopic cardiac surgery

X¹,

zhang

Xia³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Inadvertent puncture of nearby organs, such as the transverse colon, intercostal artery, superior epigastric artery with resultant abdominal wall hematoma, or injury to small subcutaneous vessels with resultant hematoma at the exit of the wires, have been reported. 12–14…”

Section: Complications Of Temporary Pacemaker Wiresmentioning

confidence: 99%

“…16 Pacemaker wire removal can result in major complications in a small number of patients (0.4%). 13,14…”

Section: Complications Of Temporary Pacemaker Wiresmentioning

confidence: 99%

“…Pacemaker wire removal may result in laceration of coronary grafts, avulsion of a vein graft, or dislocation of vascular clips from the side branches, with resultant bleeding. 13,17 The bleeding is usually minimal and self-limiting, but significant bleeding and cardiac tamponade or hemothorax has been reported. 15 Reoperation, with its negative consequences of prolonged hospital stay and increased hospital morbidity and mortality from cardiac tamponade after pacing wire removal, has been reported in more than 1% of patients who required reoperation; these patients presented with hypotension, dyspnea, or cardiac arrest.…”

Section: Complications Of Temporary Pacemaker Wiresmentioning

confidence: 99%

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Safety of temporary pacemaker wires

Elmistekawy

2019

Asian Cardiovasc Thorac Ann

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It is routine practice to insert temporary pacemaker wires in cardiac surgery patients. In selected patients, temporary pacemakers are helpful in the management of cardiac surgery patients intra- and postoperatively. Although this practice is generally safe, a small percentage of patients may have complications at the time of insertion, during pacing postoperatively, at the time of pacemaker wire removal, or if temporary wires are retained inside the body. This review will shed some light on the safety issues of temporary pacemaker wire usage.

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“…Placement of temporary epicardial pacing wires (TEPW) is routine practice in cardiac surgery 1 . While used routinely for all cases in many centers, some practices report selective use of TEPW in patients at high risk for bradyarrhythmias 2,3 due to concerns of complications with either TEPW placement, 4 removal, 5‐8 or due to cutting TEPW and leaving them to retract internally 9 …”

Section: Introductionmentioning

confidence: 99%

Prediction of temporary epicardial pacing wire use in cardiac surgery

et al. 2020

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Background Placement of temporary epicardial pacing wires (TEPW) at the end of open heart surgery cases is routine but can be associated with complications. Identification of patients who are high risk for requiring pacing would be beneficial on guiding selective TEPW placement. The purpose of this study was to identify predictors of temporary pacing immediately post cardiac surgery. Methods A retrospective analysis of patients undergoing cardiac surgery from 2005 to 2016 at the Maritime Heart Center was conducted. Analysis was performed of patients who require pacing on arrival to the cardiovascular intensive care unit (CVICU) compared with those who were not paced. Multivariable logistic regression was used to determine each variable's risk adjusted likelihood of pacing for the entire cohort. Subgroup analysis was performed in the isolated procedures. Results A total of 11 752 patient underwent surgery from the year 2005 to 2016. Two thousand and fifty‐one (17.5%) required pacing on arrival to CVICU. Older age, female sex, preoperative renal failure, lower ejection fraction (EF), preoperative arrhythmia, preoperative use of calcium channel blockers, and longer cross‐clamp times were risk factors for pacing. In the isolated coronary artery bypass grafting and aortic valve replacement groups, findings were similar to the overall cohort. Only age, obesity, and chronic obstructive pulmonary disease were risk factors for pacing in the isolated mitral valve (MV) repair group and only preoperative arrhythmia in the isolated MV replacement group. Conclusion We have identified risk factors for TEPW use following cardiac surgery and in isolated procedure subgroups. These risk factors may help guide selective TEPW placement.

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Colonic Injury From Temporary Epicardial Pacing Wires

Cited by 8 publications

References 9 publications

Transvenous endocardial pacemaker pacing in thoracoscopic cardiac surgery

Transvenous endocardial pacemaker pacing in thoracoscopic cardiac surgery

Safety of temporary pacemaker wires

Prediction of temporary epicardial pacing wire use in cardiac surgery

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